Kozak, William J
Kozak, William J is an sole proprietor health care provider with primary practice located at 2620 Memorial Blvd , Connellsville PA 15425-1488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kozak, William J can be contacted via phone (724) 626-0700.Contact Information
Primary practice address
2620 Memorial Blvd
Connellsville PA 15425-1488
Phone: (724) 626-0700
Fax: (724) 626-8700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD422207 | Pennsylvania |
Profile Details
| NPI number | 1912908914 |
|---|---|
| LBN Legal business name | Kozak, William J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | May 14th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912908914 | NPPES |
| Pennsylvania | MEDICAID | 0019646830002 |
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